NPI | 1821654385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL SW15473) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW15473) |
Enumeration Date | 2019-05-10 |
Last Update Date | 2023-06-07 |